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This is VAERS ID 26846

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 26846 (history)  
Form: Version .0  
Age: 4.0  
Sex: Female  
Location: New York  
   Days after vaccination:4
Submitted: 1990-11-27
   Days after onset:22
Entered: 1990-12-05
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1707S / - LA / IM

Administered by: Private       Purchased by: Unknown

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Diagnostic Lab Data: EEG-Abnormal
CDC Split Type:

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.

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